| NPI | 1750742664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE MORGAN GREEN Partner 301-928-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2196) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |